6982AF22B000018.pdf
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- Attached to
- AZ FLAP SR261(1), Eagar to Crescent Lake Federal contract opportunity
- Solicitation number
- 6982AF22B000018
About this file
This federal contract opportunity solicitation seeks bids for the rehabilitation of 11.4 miles of Arizona State Route 261 between Eagar and Crescent Lake. The project consists of pulverizing and repaving the existing asphalt roadway, installing new and lining existing drainage culverts between 24 to 66 inches in diameter, and adding new guardrail. Significant quantities of materials will be required, including over 33,000 tons of asphalt, 11.42 miles of full depth reclamation, 1,000 cubic yards of riprap, 1,600 linear feet of pipe culvert, 600 linear feet of culvert lining, and 3,500 linear feet of guardrail. The solicitation was issued by the Department of Transportation Federal Highway Administration to rehabilitate this 11.4 mile section of State Route 261 in Apache County, Arizona.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| AZ FLAP SR261(1) Tabulation of Bids.pdf | ||
| Bid Opening Summary 01052023.pdf | ||
| AZ FLAP SR261(1) Eagar to Crescent Lake- QnA-01042023.pdf | ||
| AZ FLAP SR261(1) Eagar to Crescent Lake- QnA-12202022.pdf | ||
| A002.pdf | ||
| A001.pdf | ||
| AZ FLAP SR261(1) Eagar to Crescent Lake- QnA-11302022.pdf | ||
| AZ FLAP SR261(1) Eagar to Crescent Lake- QnA-11222022.pdf | ||
| Interested Vendors List 11.04.22.pdf | ||
| AZ FLAP SR261(1) Eagar to Crescent Lake- QnA-11032022.pdf | ||
| Interested Vendors List 11.03.22.pdf | ||
| AZ FLAP SR261(1) Eagar to Crescent Lake Pavement Report Signed.pdf | ||
| FP-14_Eng.pdf | ||
| AZ FLAP SR261(1) Plans_Final.pdf | ||
| AZ FLAP 261(1) Eagar to Crescent Lake_Final Hydraulics Report_07282021.pdf |
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Text version
INVITATION FOR BID
SOLICITATION NUMBER:
SOLICITATION TYPE:
PROJECT NUMBER:
PROJECT NAME:
6982AF22B000018
FULL AND OPEN COMPETITION
AZ FLAP SR 261(1)
EAGAR TO CRESCENT LAKE
BID OPENING DATE:
See Page A-1, Item 13A
This solicitation cites Standard Specifications for
Construction of Roads and Bridges on
Federal Highway Projects, FP-14 US Customary Units
ISSUING OFFICE:
U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL HIGHWAY ADMINISTRATION
CENTRAL FEDERAL LANDS HIGHWAY DIVISION
12300 W. DAKOTA AVENUE, SUITE 360
LAKEWOOD, CO 80228
Web site: https://highways.dot.gov/federal-lands E-mail: CFLContracts@dot.gov https://highways.dot.gov/federal-lands mailto:CFLContracts@dot.gov
PROJECT AZ FLAP SR 261(1)
LOCATION APACHE-SITGREAVES NATIONAL
FOREST
COUNTY APACHE
STATE ARIZONA
LENGTH SCHEDULE A: 11.42 MILES
TYPE OF IMPROVEMENT ROAD REHABILITATION, CULVERT
REHABILITATION, SIGNING, STRIPING,
SPECIAL ROCK EMBANKMENT,
GUARDRAIL
TABLE OF CONTENTS
Notice to Bidders ............................................................................................................. A-i
Solicitation, Offer, and Award ........................................................................................ A-1
Basis for Award and Bid Schedule ................................................................................ A-6
Solicitation Provisions .....................................................................................................B-7
Contract Clauses ..............................................................................................................C-1
Construction Wage Rate Requirement............................................................................ D-1
Division 100 ..................................................................................................................... E-2 Division 150 ................................................................................................................... E-20
Division 200 ................................................................................................................... E-40
Division 300 ................................................................................................................... E-42
Division 400 ................................................................................................................... E-42
Division 500 .....................................................................................................See the FP-14 Division 600 ................................................................................................................... E-56
Division 700 ................................................................................................................... E-68
APPENDICES
Appendix A .................................................................................. INDUSTRIAL FIRE PLAN
Appendix B .....................................................................................................401/404 Permits
PROJECT OVERVIEW
This project consists of the rehabilitation (3R) of approximately 11.4 miles of Arizona State Route
261 between the Town of Eagar and the intersection of State Route 273 in Apache County, Arizona.
SPECIAL CONTRACT REQUIREMENTS (SCRs)
The following Special Contract Requirements amend and supplement the Standard
Specification for Construction of Roads and Bridges on Federal Highway Projects
Appendix C.......................................................................Small Business Subcontracting Plan
NOTICE TO BIDDERS
A-i
I. PRE-BID INFORMATION
ELECTRONIC BIDS WILL NOT BE ACCEPTED. Submit a printed copy of your bid to the address listed on the SF-1442 (Page A-1, Item 8). Submit the following documents with your
Bid Package–
• SF-1442, Solicitation, Offer & Award, Pages A-1 and A-2
• Indication of interest in formal Partnering, Page A-5
• Bid Schedule Pages A-6 through A-13
• Completed an applicable Authority to Bind certificate, pages A-14 through A-18
• Buy American Act & Hazardous Materials, Pages A-19 through A-20
• Bid Guarantee (see FAR Clause 52.228-1), Pages B-1 and B-2. Bid bonds must be originals with original signatures and corporate seals. Photocopies and Faxed copies are NOT acceptable and will make your bid non-responsive.
o Digital copies may be downloaded at https://www.gsa.gov/forms-library/bid-bond
• Completed the VETS-4212 declaration, Page A-ii; Bidders’ Information, Pages B-3 through
B-6.
• HUBZone small business concerns electing to waive the evaluation preference, complete
52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns, Section C of the IFB.
Bidders should retain all other pages for their information. Bids should be submitted in a sealed envelope and include the Contractor’s Name, Solicitation Number and the Project Number/Name.
It is the responsibility of the bidder to verify that this solicitation document, including the plans, are complete as listed in the table of contents and the index to sheets. Plan sheets can be found at https://sam.gov and viewed by individual sections, downloaded by individual sections, or the entire plan set downloaded in a zip file. Physical data relevant to this solicitation may also be viewed or downloaded at the above site.
This solicitation and subsequent contract are governed by the Federal Acquisition Regulations
(FAR), agency supplemental regulations, and the Standard Specifications for Construction of Roads and Bridges on Federal Highway Projects, FP-14.
The FP-14 was utilized for the design of this project. Paper copies of the FP-14 will not be provided to bidders or the awarded Prime Contractor. The FP-14 is available electronically at https://flh.fhwa.dot.gov/resources/specs/ and a copy is uploaded with this solicitation. A single paper copy can be obtained from the Research & Technology Distribution Center (RTPDC) by email report.center@dot.gov.
https://www.gsa.gov/forms-library/bid-bond https://sam.gov/ https://flh.fhwa.dot.gov/resources/specs/ mailto:report.center@dot.gov
A-ii
Applicable FAR/TAR provisions and clauses in this IFB are incorporated by reference or full text.
FAR provisions and clauses incorporated by reference can be accessed on the Internet at https://www.acquisition.gov/content/regulations.
Notice of SAM Registration – you must be registered in the System for Award Management
(SAM) prior to submission of a bid in response to this solicitation. Failure to register prior to submission of a bid may require award to the next successful registered offeror. See FAR Subpart
4.1102. Register online at www.sam.gov.
Representations and Certifications – This solicitation is issued under NAICS 237310 –
Highway, Street & Bridge Construction with a small business size standard of $39.5 million. If your average annual gross receipts for the past 5 years are above $39.5 million, you are a large business for this solicitation. If they are below $39.5 million you are a small business. Before submitting bids, you must ensure you have completed your annual representations and certifications electronically at the SAM website at www.sam.gov. Include NAICS 237310 in your SAM profile.
Vets-4212 Reporting: - The Contractor must complete the report if required. See reporting requirements at: https://www.dol.gov/agencies/vets/contractor/instructions-for-electronic-submission-vets-4212-reports.
• My firm had a qualifying Federal Contract in 2022 and has complied with the reporting requirements.
• My firm did not have a qualifying Federal Contract in 2022 and is therefore exempt from the reporting requirements
This Solicitation Contains a Price Evaluation Factor - The Government will apply a factor of
10% to the price of all offers except HUBZone small business concerns that have not waived the evaluation preference and otherwise successful offers from small business concerns. See FAR
Clause 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns.
In the event this full and open competition results in a contract award to a qualified HUBZone SBC after a price evaluation preference, FAR Clause 52.219-14, Limitations on Subcontracting will apply.
Bid Guarantee – Follow the requirements of FAR Clause 52.228-1 Bid Guarantee and Subpart
102.03 of the FP-14. Bid bonds must be originals and have original signatures and corporate seals.
Photocopied and faxed copies of bonds will be rejected and cause your bid to be non-responsive.
Accuracy and Completeness of Bid- The Contractor is fully responsible to verify that all data is correct when an offer is submitted. Failure to properly update your data may cause the offer to be rejected.
Request for Technical Information – Questions relative to the plans and SCRs for this solicitation will only be accepted in writing (see Item 9 on Page A-3).
https://www.acquisition.gov/content/regulations http://www.sam.gov/ http://www.sam.gov/
A-iii
TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE
ACCEPTED AFTER 4 P.M. ON December 1, 2022
Questions can be submitted to CFLContracts@dot.gov. Questions and answers will be posted at https://sam.gov
Modifications to Bids - Bids may be modified or withdrawn by regular mail, electronic commerce
(email) or facsimile, if such notice is received prior to the time specified for receipt of bids. The
Government will not be responsible for ANY failure attributable to the transmission or receipt of electronic commerce (email) or facsimile data.
For all modifications, we STRONGLY ENCOURAGE you to resubmit the entire bid schedule with a unit price and amount for every bid item, and a Schedule Total. See FAR Provision
52.214-5, Submission of Bids. Modifications which make the bid ambiguous, indefinite, or uncertain as to any essential requirement of the contract will cause the bid to be rejected as nonresponsive.
FAX Number to submit modifications to bids for this project is (720) 963-3360
Email Address to submit modifications to bids for this project is cflcontracts@dot.gov
II. POST AWARD INFORMATION
CFLHD will no longer be providing paper copies of the conformed contract to the Awarded
Prime Contractor.
Subcontracting - FAR Clause 52.219-8, Utilization of Small Business Concerns states that Prime
Contractors afford small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns the maximum practicable opportunity to participate in performing contracts let by any Federal agency.
FAR Clause 52.219-9, Small Business Subcontracting Plan, Alternate I, requires that the large business concern who is the successful low bidder on a Federal project with an anticipated award amount exceeding $1.5 million, is required to submit a subcontracting plan prior to contract award.
The subcontracting plan expresses goals in terms of percentages of total planned subcontracting dollars for the use of small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business, and women-owned small business concerns as subcontractors. If the apparent successful low bidder fails to submit an acceptable subcontracting plan acceptable to the CO within 7 days of request of the CO, that bidder may be ineligible for award of the contract.
Prime Contractors, who are large businesses, are encouraged to post sources sought notices at the
Small Business Administration’s Subcontracting Network (SUB-NET) https://web.sba.gov/subnet/ so that small businesses can identify opportunities in their areas of expertise. The use of SUB-Net mailto:CFLContracts@dot.gov https://sam.gov/ https://web.sba.gov/subnet/
A-iv fulfills the requirements set forth in Federal Acquisition Regulation (FAR) 5.206, Notice of
Subcontracting Opportunities, for contractors and subcontractors to post notices and thereby increase competition for subcontracts.
A list of currently known business concerns owned and controlled by socially and economically disadvantaged individuals and/or women-owned small business concerns that have indicated an interest in participating in highway construction is available at https://www.sam.gov.
See Appendix D for Sample Small Business Subcontracting Plan.
NOTE:
• Consider the following FHWA small business goals in development of Subcontracting plans and efforts:
FHWA Small Business Subcontracting Goals (As of FY 2023)
Business Size Goal (%)
SB 46.0%
SDB 5.0%
HUBZone 3.0%
WOSB 5.0%
SDVOSB 3.0%
Insurance requirements - See Subsection 107.05 of the FP-14.
EEBACS - Contractors shall use the Government’s web-based system, Engineer’s Estimating, Bidding, Award, and Construction System (EEBACS), to prepare all “Inspector’s Daily Record of Construction
Operations” (Contractors Daily Reports) and measurement notes (pay notes).
The Contractor shall be required to attend a training session on the use of EEBACS. The training session will require up to 4 hours. No more than 3 Contractor staff may attend the training unless approved by the CO. The Contractor shall be responsible for training additional staff.
The Contractor shall be required to submit a user account form to gain access to the EEBACS system.
See Subsection 108.01.
A user guide, “EEBACS for Construction Contractors”, is available. An electronic version can be found at https://highways.dot.gov/federal-lands/estimates/eebacs-guide https://www.sam.gov/ https://highways.dot.gov/federal-lands/estimates/eebacs-guide
A-1
SOLICITATION, OFFER
AND AWARD
(Construction, Alteration or Repair)
1. SOLICITATION NO.
6982AF22B000018
2. TYPE OF SOLICITATION
SEALED BID (IFB)
NEGOTIATED (RFP)
3. DATE ISSUED
11/01/2022
PAGE OF
PAGES
IMPORTANT - THE "OFFER SECTION ON THE REVERSE MUST BE FULLY COMPLETED BY OFFEROR.
4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.
HFLCEO220351PR
6. PROJECT NO.
AZ FLAP SR 261(1)
7. ISSUED BY:
FEDERAL HIGHWAY ADMINISTRATION
CENTRAL FEDERAL LANDS DIVISION
12300 WEST DAKOTA AVENUE, SUITE 167
LAKEWOOD, COLORADO 80228
CODE: 69050001 8. ADDRESS OFFER TO:
Laura Vallejos, Contract Specialist Federal Highway Administration Central Federal Lands Division Office 12300 W. Dakota Avenue
Lakewood, CO 80228
9. FOR INFORMATION CALL
SEE PAGE A-3
A. NAME:
SEE PAGE A-3
B. TELEPHONE NO. (Include area code)
SEE PAGE A-3
SOLICITATION
NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."
10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS:
ROADWAY CONSTRUCTION PROJECT IN STRICT ACCORDANCE WITH:
1. FEDERAL ACQUISITION AND TRANSPORATION ACQUISITION REGULATIONS (FAR & TAR)
2. DEPARTMENT OF LABOR, CONSTRUCTION WAGE RATE REQUIREMENT RATES
3. SPECIAL CONTRACT REQUIREMENTS
4. PLANS
5. BID SCHEDULE
6. STANDARD SPECIFICATIONS FOR CONSTRUCTION OF ROADS AND BRIDGES ON FEDERAL HIGHWAY
PROJECTS, FP-14, U.S. CUSTOMARY UNITS
7. SUBCONTRACTING PLAN (IF APPLICABLE)
See Subsection 104.04 of the FP-14 for governing order of precedence
11. The Contractor shall begin performance within 10 calendar days and complete it within * calendar days after receiving award notice to proceed. The performance period is mandatory negotiable. *Refer to Subsection 108.01 as amended in the Special Contract Requirements.
12A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?
(If "YES," indicate within how many calendar days after award in Item 12B.) YES NO
12B. CALENDAR DAYS
13. ADDITIONAL SOLICITATION REQUIREMENTS:
A. Sealed offers in original and 0 copies to perform the work required are due at the place specified in Item 8. by 2:00 p.m. (hour) local time on 12/08/2022 (date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offe rs are due.
B. An offer guarantee is is not required.
C. All offers are subject to the (1) work requirements and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.
D. Offers providing less than 60 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.
STANDARD FORM 1442 (REV. 8/2014)
Prescribed by GSA FAR (48 CFR) 53.236-1(d)
X
X
X
X
X
A-2
STANDARD FORM 1442 (REV. 8/2014) BACK
OFFEROR (Must be fully completed by offeror)
14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NO. (Include area code)
16. REMITTANCE ADDRESS (Include only if different than Item 14)
DUNS NO.
17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of thi s solicitation, if this offer is accepted by the Government in writing with calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in Item 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.)
AMOUNTS SEE INDIVIDUAL BID SCHEDULE(S)
18. The offeror agrees to furnish any required performance and payment bonds.
19. ACKNOWLEDGMENT OF AMENDMENTS
(The offeror acknowledges receipt of amendments to the solicitation - give number and date of each)
AMENDMENT NO.
DATE
20A. NAME AND TITLE OF PERSON AUTHORIZED
TO SIGN OFFER (Type or print)
20B. SIGNATURE 20C. OFFER DATE
AWARD (To be completed by Government)
21. ITEMS ACCEPTED:
22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA
24. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 27
(4 copies unless otherwise specified)
25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO
□ 10 U.S.C. 2304(c)( ) □ 41 U.S.C. 3304(a)( )
26. ADMINISTERED BY CODE: 27. PAYMENT WILL BE MADE BY
FEDERAL HIGHWAY ADMINISTRATION
CENTRAL FEDERAL LANDS HIGHWAY DIVISION
12300 W. DAKOTA AVENUE, SUITE 167
LAKEWOOD, COLORADO 80228
CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE
28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return copies to issuing office.)
Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by
(a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.
29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award. No further contractual document is necessary.
30A. NAME AND TITLE OF CONTRACTOR OR PERSON
AUTHORIZED TO SIGN (Type or print)
31A. NAME OF CONTRACTING OFFICER (Type or print)
30B. SIGNATURE 30C. DATE 31B. UNITED STATES OF AMERICA
BY
31C. AWARD
DATE
A-3
Item 8: LOCATION OF PUBLIC BID OPENING: Offers must be received by designated date and time as stated in Item 13A.
Item 9: FOR GENERAL INFORMATION: E-mail us at CFLContracts@dot.gov.
FOR TECHNICAL INFORMATION (plans and specifications): Questions must be submitted in writing by e-mail at CFLContracts@dot.gov .
Item 11: COMPLETION DATE: Work shall be completed on or before the date specified in Subsection 108.01 of the SCRs.
Item 12A: PERFORMANCE AND PAYMENT BONDS: See FAR Clause 52.228-15
Performance and Payment Bonds-Construction (Clauses begin on Page C-1) and Subsection 102.06 of the FP-14.
Item 13B: BID BOND AMOUNT: See FAR Provision 52.228-1 Bid Guarantee
(Provisions begin on Page B-1) and Subsection 102.03 Bid Guarantee of the FP-
14. All bid guarantees must have original signatures with original corporate seals.
Item 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO
ACKNOWLEDGE AMENDMENTS, IN ITEM 19 OF THE SF-1442, BY THE
DESIGNATED DATE AND HOUR SPECIFIED IN THE SOLICITATION MAY
RESULT IN REJECTION OF YOUR BID. If amendments are issued, they will be posted to https://sam.gov.
Item 24: SUBMITTING INVOICES: See Subsection 109.08 Progress Payments of the
FP-14.
ESTIMATED
PRICE: The price range of the project work is between $10,000,000 and $20,000,000.
https://sam.gov/
A-4
Bid Schedule Instructions
BIDDERS, PLEASE NOTE: This Bid Proposal is comprised of one schedule. Before preparing the bid, carefully read the Solicitation Provisions and the following:
• Insert a numeric unit bid price for each pay item for which a quantity appears in the bid schedule. Unit bid prices should be quoted no more precisely than the nearest cent (2 decimal places). Unit bid prices quoted more precisely will be rounded up to the nearest cent by the Government
• Multiply the unit price by the quantity for each pay item and show the amount bid.
When the words “Lump Sum” appear as a unit bid price, insert an amount for each lump sum pay item.
• Total all amounts bid for each pay item and show the Construction Cost Total on the space provided on the last page of each schedule or option.
• Also show the Construction Cost Total for each schedule/option as well as the combined Total of each Schedule and the Option in the spaces provided on the Bid Summary page.
NOTE: If the amount bid for a pay item is inconsistent with the product of the unit price provided by the bidder and the quantity provided by the Government, the unit price will govern and the
Government will determine a corrected amount bid for the pay item by multiplying the unit price by the quantity.
Pay Item 15401-0000, Contractor testing
Bidders must provide prices on alternative Contractor Testing pay items for EACH SCHEDULE.
Bidders must provide a price for Contractor Testing using a Contractor-furnished field laboratory for each schedule. The price for this item will be included in the Construction Cost Total for the schedule on the Bid Summary, page A-13, therefore, included in the evaluation for award.
Bidders must also provide a stand alone price on the last page of each schedule for the alternative item, Contractor Testing using a Government-furnished field laboratory, at the end of each bid schedule. This price will not be factored into the evaluation for award.
The Government retains the discretion to award a contract which includes either of the alternative
Contractor Testing items at the respective bid price.
Basis for Award
To be eligible for award of contract, the offeror shall submit prices for each item necessary to complete all contract work in Schedule A.
Accordingly, award of contract, if made, will be made to the lowest responsive, responsible bidder, if funds are available.
A-5
Partnering
A Partnership recognizes the Government and the Contractor are both responsible and can affect the successful completion of this project. Partnering is a vehicle to ensure the partnership has structure and quality. It recognizes the strengths of each party and uses those strengths to identify and achieve shared goals. One of the primary objectives of Partnering is to facilitate the resolution of disputes in a timely, professional, and non-adversarial manner with the outcome focused on achieving those shared goals.
CFLHD supports the concepts and tenets of Partnering and as such is encouraging the Contractors and it’s subcontractors to establish a Partnering relationship on this project.
A formal Partnering meeting can help facilitate this relationship by helping do document the parties’ common purpose and goals, and ensuring alignment. The goals are mutually agreed upon and address effective and efficient performance within the scope of the contract.
Participation in a formal Partnering meeting is voluntary. Costs of implementing and maintaining the partnership would be agreed to by both parties as described in Subsection 103.05 Partnering of the
FP-14. Costs of partnering would be in addition to the contract award amount.
Please indicate your desire to participate in a formal partnering meeting on this project.
(___) We would like to participate in a formal partnering meeting.
(___) We do not want to participate in a formal partnering meeting.
Bidder/Offeror please note: Before preparing the bid, carefully read the Solicitation Provisions.
Insert a unit bid price, in figures, for each pay item for which a quantity appears in the bid schedule. Multiply the unit price by the quantity for each pay item and show the amount bid. Should any mathematical check made by the Government show a mistake in the amount bid, the corrected unit price extension shall govern.
When the word "LPSM" (Lump Sum) appears as a unit bid price, insert an amount for each lump sum pay item.
When a sum based on a fixed rate appears for any pay item in the amount bid column, include the Government inserted amount bid for the item in the total bid amount.
Total all of the amounts bid for each pay item and show the total bid amount.
Bid Schedule
Project No:AZ FLAP SR261(1)
Project Name:Eagar to Crescent Lake
A-6
Item No. Pay Item No. Description Quantity Unit Unit Price Amount
A0020 15101-0000 MOBILIZATION
ALL LPSM $___LPSM_____ $____________
A0040 15210-3000 CENTERLINE, VERIFICATION AND STAKING
11.420 MILE $____________ $____________
A0060 15215-1000 SURVEY AND STAKING, APPROACH ROAD
16 EACH $____________ $____________
A0080 15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE
23 EACH $____________ $____________
A0100 15301-0000 CONTRACTOR QUALITY CONTROL
ALL LPSM $___LPSM_____ $____________
A0120 15401-0000 CONTRACTOR TESTING
ALL LPSM $___LPSM_____ $____________
A0140 15501-0000 CONSTRUCTION SCHEDULE
ALL LPSM $___LPSM_____ $____________
A0160 15701-0000 SOIL EROSION CONTROL
ALL LPSM $___LPSM_____ $____________
A0180 15720-0000 STORM WATER POLLUTION PREVENTION PLAN
ALL LPSM $___LPSM_____ $____________
A0200 15802-0000 WATERING FOR DUST CONTROL
ALL LPSM $___LPSM_____ $____________
A0220 20101-0000 CLEARING AND GRUBBING
15.0 ACRE $____________ $____________
A0240 20301-0600 REMOVAL OF CATTLE GUARD
3 EACH $____________ $____________
A0260 20301-0700 REMOVAL OF DELINEATOR
120 EACH $____________ $____________
A0280 20301-1900 REMOVAL OF PIPE CULVERT
30 EACH $____________ $____________
Bid Schedule Schedule:A Schedule Type:Base
Project No:AZ FLAP SR261(1)
Project Name:Eagar to Crescent Lake
(Contractor-furnished Lab)
A-7
A0300 20301-2400 REMOVAL OF SIGN
100 EACH $____________ $____________
A0320 20302-1200 REMOVAL OF GUARDRAIL
4,300 LNFT $____________ $____________
A0340 20402-0000 SUBEXCAVATION
1,000 CUYD $____________ $____________
A0360 25101-0200 PLACED RIPRAP, METHOD A, CLASS 2
30 CUYD $____________ $____________
A0380 25101-0300 PLACED RIPRAP, METHOD A, CLASS 3
100 CUYD $____________ $____________
A0400 25101-0400 PLACED RIPRAP, METHOD A, CLASS 4
250 CUYD $____________ $____________
A0420 25101-2200 PLACED RIPRAP, METHOD B, CLASS 2
70 CUYD $____________ $____________
A0440 25101-2300 PLACED RIPRAP, METHOD B, CLASS 3
40 CUYD $____________ $____________
A0460 25101-2400 PLACED RIPRAP, METHOD B, CLASS 4
580 CUYD $____________ $____________
A0480 25201-0000 SPECIAL ROCK EMBANKMENT
55 CUYD $____________ $____________
A0500 30202-2000 ROADWAY AGGREGATE, METHOD 2
2,100 TON $____________ $____________
A0520 30302-1000 DITCH RECONDITIONING
860 LNFT $____________ $____________
A0540 30302-2000 SHOULDER RECONDITIONING
2,000 LNFT $____________ $____________
A0560 30401-5500 FULL DEPTH RECLAMATION, METHOD 2, 8-INCH DEPTH
11.420 MILE $____________ $____________
Bid Schedule Schedule:A Schedule Type:Base
Project No:AZ FLAP SR261(1)
A-8
A0600 40101-5600 ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH
NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL
33,200 TON $____________ $____________
A0620 40105-3000 ANTISTRIP ADDITIVE, TYPE 3
330 TON $____________ $____________
A0660 40601-0000 FOG SEAL
90 TON $____________ $____________
A0680 41102-1000 PRIME COAT, METHOD 1
206,800 SQYD $____________ $____________
A0700 41105-0000 BLOTTER
300 TON $____________ $____________
A0720 41201-0000 TACK COAT
90 TON $____________ $____________
A0740 60201-0800 24-INCH PIPE CULVERT
400 LNFT $____________ $____________
A0760 60201-0900 30-INCH PIPE CULVERT
190 LNFT $____________ $____________
A0780 60201-1000 36-INCH PIPE CULVERT
120 LNFT $____________ $____________
A0800 60201-1100 42-INCH PIPE CULVERT
350 LNFT $____________ $____________
A0820 60201-1200 48-INCH PIPE CULVERT
100 LNFT $____________ $____________
A0840 60202-0500 30-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT
65 LNFT $____________ $____________
A0860 60202-0700 42-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT
240 LNFT $____________ $____________
Bid Schedule Schedule:A Schedule Type:Base
Project No:AZ FLAP SR261(1)
A-9
A0880 60202-0800 48-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT
60 LNFT $____________ $____________
A0900 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT
20 EACH $____________ $____________
A0920 60210-0900 END SECTION FOR 30-INCH PIPE CULVERT
10 EACH $____________ $____________
A0940 60210-1000 END SECTION FOR 36-INCH PIPE CULVERT
8 EACH $____________ $____________
A0960 60210-1100 END SECTION FOR 42-INCH PIPE CULVERT
8 EACH $____________ $____________
A0980 60210-1200 END SECTION FOR 48-INCH PIPE CULVERT
2 EACH $____________ $____________
A1000 60211-0900 END SECTION FOR 30-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL
PIPE CULVERT
2 EACH $____________ $____________
A1020 60211-1100 END SECTION FOR 42-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL
PIPE CULVERT
8 EACH $____________ $____________
A1040 60211-1200 END SECTION FOR 48-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL
PIPE CULVERT
2 EACH $____________ $____________
A1060 60704-0000 CLEANING CULVERT IN PLACE
50 EACH $____________ $____________
A1080 60707-1100 LINING 60-INCH PIPE CULVERT
190 LNFT $____________ $____________
A1100 60707-1200 LINING 66-INCH PIPE CULVERT
420 LNFT $____________ $____________
Bid Schedule Schedule:A Schedule Type:Base
Project No:AZ FLAP SR261(1)
A-10
A1120 61701-4550 GUARDRAIL SYSTEM MGS, TYPE 2, CLASS A WOOD POSTS
3,575.0 LNFT $____________ $____________
A1140 61702-1500 TERMINAL SECTION, TYPE MGS TANGENT
20 EACH $____________ $____________
A1160 61702-1600 TERMINAL SECTION, TYPE MGS FLARED
7 EACH $____________ $____________
A1180 61901-0800 FENCE, BARBED WIRE, 3 STRAND
90 LNFT $____________ $____________
A1200 61902-0900 GATE, METAL (8 FOOT)
3 EACH $____________ $____________
A1220 61903-1100 CATTLE GUARD, 32 FEET
3 EACH $____________ $____________
A1240 61920-2000 REMOVE AND RESET GATE
1 EACH $____________ $____________
A1260 62201-0200 DUMP TRUCK, 8 CUBIC YARD MINIMUM CAPACITY
40 HOUR $____________ $____________
A1280 62201-0550 BACKHOE LOADER, 6 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET,
24-INCH WIDTH
40 HOUR $____________ $____________
A1300 62201-0950 WHEEL LOADER, 3 CUBIC YARD MINIMUM RATED CAPACITY
40 HOUR $____________ $____________
A1320 62201-1450 BULLDOZER, 350HP MINIMUM FLYWHEEL POWER
10 HOUR $____________ $____________
A1340 62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE
200 HOUR $____________ $____________
A1360 62201-3350 HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY
40 HOUR $____________ $____________
Bid Schedule Schedule:A Schedule Type:Base
Project No:AZ FLAP SR261(1)
A-11
A1380 62301-0000 GENERAL LABOR
40 HOUR $____________ $____________
A1400 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES
40 HOUR $____________ $____________
A1420 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES
80 HOUR $____________ $____________
A1440 62510-1000 SEEDING, DRY METHOD
15.0 ACRE $____________ $____________
A1460 62515-1000 MULCHING, DRY METHOD
15.0 ACRE $____________ $____________
A1480 63301-0000 SIGN SYSTEM
120 EACH $____________ $____________
A1500 63308-3000 OBJECT MARKER, TYPE 3
25 EACH $____________ $____________
A1520 63309-0100 DELINEATOR, TYPE 1
750 EACH $____________ $____________
A1540 63309-0200 DELINEATOR, TYPE 2
190 EACH $____________ $____________
A1560 63316-1000 REMOVE AND RESET SIGN
20 EACH $____________ $____________
A1580 63402-0300 PAVEMENT MARKINGS, TYPE B, SOLID
74.0 MILE $____________ $____________
A1600 63402-0400 PAVEMENT MARKINGS, TYPE B, BROKEN
15.0 MILE $____________ $____________
A1620 63501-1000 TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR
ALL LPSM $___LPSM_____ $____________
A1640 63502-0700 TEMPORARY TRAFFIC CONTROL, CONE
150 EACH $____________ $____________
Bid Schedule Schedule:A Schedule Type:Base
Project No:AZ FLAP SR261(1)
A-12
A1660 63502-1050 TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER
150 EACH $____________ $____________
A1680 63502-1300 TEMPORARY TRAFFIC CONTROL, DRUM
150 EACH $____________ $____________
A1700 63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN
535 SQFT $____________ $____________
A1720 63505-1000 TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS
46.0 MILE $____________ $____________
A1740 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER
1,600 HOUR $____________ $____________
A1760 63506-0600 TEMPORARY TRAFFIC CONTROL, PILOT CAR
480 HOUR $____________ $____________
Submitted by:____________________________________ Schedule Total:____________
Bid Schedule Schedule:A Schedule Type:Base
Project No:AZ FLAP SR261(1)
Project Name:Eagar to Crescent Lake
A0120 15401-0000 CONTRACTOR TESTING (Bid Item Alternative: Government Furnished Lab)
BID ALTERNATE ITEM - SEE PAGE A-4 ALL LPSM $___LPSM_____ $____________
A-13
INSTRUCTIONS: When the offeror/principal is a corporation, include this certification with your offer/bid.
certification with your offer/bid.
Corporate Certificate
I, (name), certify that I am the
(title), of the corporation named as the
Offeror/Principal herein;
that (name), who signed this offer and/or bid bond on behalf of (company name) is
(title) of this corporation;
that the offer was duly signed for and on behalf of said corporation by authority and scope of its governing body, and within the scope of its corporate powers.
(signature) Affix Corporate Seal
(title)
A-14
INSTRUCTIONS: When the offeror/principal is a limited liability corporation, include this certification with your offer/bid.
certification with your offer/bid.
Limited Liability Certificate
I, (name), certify that I am the
(title), of the limited liability company named as the Offeror/Principal herein;
that (name), who signed this offer and/or bid bond on behalf of (company name) is
(title) of this company;
that the offer was duly signed for and on behalf of said company by authority and scope of its governing body, and within the scope of its powers.
(signature) Affix Company Seal
(as applicable) (title)
A-15
INSTRUCTIONS: When the offeror/principal is a partnership, include this certification with your offer/bid.
Authority to Bind Partnership
This certifies that the names and signatures of all partners are listed below, and that the person signing the proposal has the authority to actually bind the partnership pursuant to its partnership agreement. Each of the partners individually has full authority to enter into and execute contractual instruments on behalf of said partnership, except as follows:
(State “None” or describe limitations, if any)
This authority shall remain in full force and effect until such time as the revocation of authority by any cause whatsoever has been furnished in writing to and acknowledge by the Contracting
Officer.
(Include names and signatures of all partners)
A-16
INSTRUCTIONS: When the offeror/principal is a joint venture, include this certification
Authority to Bind Joint Venture
This certifies that the person signing the proposal has the authority to actually bind the joint venture pursuant to its joint venture agreement, and that each of the named persons listed below individually has full authority to enter into and execute contractual instruments on behalf of said joint venture, except as follows:
(State “None” or describe limitations, if any)
This authority shall remain in full force and effect until such time as the revocation of authority by any cause whatsoever has been furnished in writing to and acknowledge by the Contracting
Officer.
(Include names and signatures of all applicable individuals)
A-17
INSTRUCTIONS: When the offeror/principal is a sole proprietorship, include this certification with your offer/bid.
Sole Proprietorship Requirement
An Offeror/Principal that is a sole proprietorship must submit an offer/bid and a bond signed by the sole proprietor, or by one duly authorized to sign for the sole proprietor. If the signature is by someone other than the sole proprietor, a copy of the power of attorney authorizing the individual to sign must be provided with the offer/bid.
A-18
BUY AMERICAN ACT- CONSTRUCTION MATERIALS
UNDER TRADE AGREEMENTS
It is understood and agreed that the materials and components listed in Subparts 25.1 and 25.2 of the FAR are a part of this contract and are deemed to be Domestic Construction Material for the purposes of this contract.
NOTE TO CONTRACTOR:
The following information and any applicable supporting data is required for evaluation of requests under FAR Clause 52.225-11 Paragraph (c) & (d) and FAR Provision 52.225-12 Paragraph (b).
Material and/or Component
Construction Material Description
Unit of Measure
Quantity
*Cost Delivered to Job Site
Foreign Construction Material
Comparable Domestic Material
Material and/or Component
Construction Material Description
Unit of Measure
Quantity
*Cost Delivered to Job Site
Foreign Construction Material
Comparable Domestic Material
[* Include all delivery costs to the construction site and any applicable duty (whether or not a duty-free entry certificate is issued).] [Please include name, address, telephone number and contact for suppliers surveyed. Attach copy of response; if oral, attach summary. Include all applicable supporting information.]
A-19
HAZARDOUS MATERIALS
As required by FAR Clause 52.223-3, Hazardous Materials Identification and Safety Data - Alternate I, the apparent low bidder must submit prior to award a Material Safety Data Sheet (MSDS) for all hazardous materials that the bidder identifies in paragraph (b) of the FAR clause and defined under the latest version of Federal Standard No. 313.
Hazardous Material Identification Number
USE OF RECOVERED MATERIALS ON FEDERAL LANDS HIGHWAY PROJECTS
Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and
Recovery Act (RCRA) of 1976, as amended (42 U.S.C. 6901 et seq.), requires Federal, State, and local procuring agencies using appropriated Federal funds to purchase items composed of the highest percentage of recovered materials practical. Use of recovered materials is strongly encouraged on Federal Lands Highway Projects. Highway construction items covered by the
Environmental Protection Agency’s Comprehensive Guidelines for Procurement of Products
Containing Recovered Materials include fly ash, ground granulated blast furnace slag, traffic barricades, traffic cones, hydraulic mulch and compost for mulch.
Use of fly ash and ground granulated blast furnace slag and construction materials containing fly ash and ground granulated blast furnace slag on Federal Lands Highway Projects:
• It is the policy of the United States Government that fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag shall have maximum practicable opportunity for incorporation into its construction projects.
• The Contractor agrees to investigate the use of fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag to the fullest extent consistent with the efficient performance of this contract. Both the contractor and the subcontractors are urged to seek out suppliers of fly ash and ground granulated blast furnace slag, cement and concrete containing fly ash and ground granulated blast furnace slag and to solicit bids for these materials.
• Names of firms that supply fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag are available from the American Coal Ash Association and the National Slag Association.
A-20
AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (REV. 8/2016)
Previous edition is NOT usable Prescribed by GSA - FAR (48 CFR) 53.228(a)
BID BOND
(See instructions on reverse)
DATE BOND EXECUTED (Must not be later than bid opening date) OMB Control Number: 9000-0045
Expiration Date: 8/31/2025
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act o f
1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this col lection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administrat ion, Regulatory Secretariat Division (M1V1CB), 1800 F
Street, NW, Washington, DC 20405.
SURETY(IES) (Name and business address)
PENAL SUM OF BOND BID IDENTIFICATION
PERCENT
OF BID
PRICE
20%
AMOUNT NOT TO EXCEED BID DATE INVITATION NUMBER
6982AF22B000018 MILLION(S)
THOUSAND(S)
HUNDRED(S)
CENTS
00 FOR (Construction, Supplies or
Services)
Construction
OBLIGATION:
We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.
CONDITIONS:
The Principal has submitted the bid identified above.
THEREFORE:
The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the
Government for any cost of procuring the work which exceeds the amount of the bid.
Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government.
Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.
WITNESS:
The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.
PRINCIPAL
SIGNATURE(S)
1.
(Seal)
2.
(Seal)
3.
(Seal) Corporate
Seal
NAME(S) &
TITLE(S)
(Typed)
1. 2. 3.
INDIVIDUALSURETY(IES)
SIGNATURE(S)
1.
(Seal) 2.
(Seal)
NAME(S)
(Typed)
1. 2.
CORPORATE SURETY(IES)
S U
R E
T Y
A
NAME &
ADDRESS
STATE OF INCORPORATION LIABILITY LIMIT ($)
Corporate
Seal SIGNATURE(S) 1. 2.
NAME(S) &
TITLE(S)
(Typed)
1. 2.
PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)
INDIVIDUAL PARTNERSHIP JOINT VENTURE
CORPORATION OTHER (Specify)
STATE OF INCORPORATION
B-1
STANDARD FORM 24 (REV. 8/2016) BACK
INSTRUCTIONS
1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of
General Services.
2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.
3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).
4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.
(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed
"CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.
(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capability.
5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.
6. Type the name and title of each person signing this bond in the space provided.
7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."
S U
R E
T Y
B
NAME &
ADDRESS
STATE OF INCORPORATION LIABILITY LIMIT ($)
Corporate
Seal SIGNATURE(S)
1. 2.
NAME(S) &
TITLE(S)
(Typed)
1. 2.
S U
R E
T Y
C
NAME &
ADDRESS
STATE OF INCORPORATION LIABILITY LIMIT ($)
Corporate
Seal SIGNATURE(S)
1. 2.
NAME(S) &
TITLE(S)
(Typed)
1. 2.
S U
R E
T Y
D
NAME &
ADDRESS
STATE OF INCORPORATION LIABILITY LIMIT ($)
Corporate
Seal SIGNATURE(S)
1. 2.
NAME(S) &
TITLE(S)
(Typed)
1. 2.
S U
R E
T
E
STATE OF INCORPORATION LIABILITY LIMIT ($)
Corporate
Seal
SIGNATURE(S)
1. 2.
NAME(S) &
TITLE(S)
(Typed)
1. 2.
S U
R E
T
F
STATE OF INCORPORATION LIABILITY LIMIT ($)
Corporate
Seal
SIGNATURE(S)
1. 2.
NAME(S) &
TITLE(S)
(Typed)
1. 2.
S U
R E
T
G
STATE OF INCORPORATION LIABILITY LIMIT ($)
Corporate
Seal
SIGNATURE(S)
1. 2.
NAME(S) &
TITLE(S)
(Typed)
1. 2.
FEDERAL HIGHWAY ADMINISTRATION
CENTRAL FEDERAL LANDS HIGHWAY DIVISION
BIDDER’S INFORMATION
INSTRUCTIONS: Answer all questions on this form inserting "none" or "not applicable" where appropriate. If more space is required attach additional sheets. Return the signed, dated and completed form with the bid to the address shown in the invitation for bids on or before the time set for bid opening. The prospective bidder shall provide any additional information requested by the Government during evaluation of the bids.
If the prospective bidder is a joint venture or general partnership, a separate Bidder's Qualifications form shall be provided individually for each joint venture participant or partner.
1. Name and address of business:
Name Unique Entity ID (See FAR Provision 52.204-6) *
Street Home Office Congressional District (Insert District #) *
City State Zip Code
* Necessary for Government reporting purposes only.
County
Telephone Number (Include Area Code)
Fax Number (Include Area Code) E-mail address
2. a. Type of organization (check appropriate box):
If a Foreign entity:
Individual Non-profit organization Corporation
Partnership Joint Venture Registered in:
b. Size and type of Business Concern (check appropriate boxes):
Large Business Concern Small Disadvantaged Business Concern Emerging Small Business
Small Business Concern Women-Owned Small Business SBA 8(a) Certified
HUB Zone Business Concern Veteran Owned Business Concern Service-Disabled Veteran-Owned Business Concern
Individual Non-profit organization Corporation
Partnership Joint Venture Incorporated in:
B-3
3. If a joint venture or general partnership:
a. Provide the name under which the project will be bid, the home office address, and name of the principal who will represent the company with regard to this project if different from "1." above.
Principal
Business Name
Street
City State Zip Code
b. Provide the name and home office addresses of each of the joint venture partners; indicate which partner is the sponsoring partner. Attach a separate sheet for additional partners.
Sponsoring Partner Other Partner
Street Street
City State Zip Code City State Zip Code
4. Date organization established: _______________________
5. Name of succeeded business, if any: _________________________________________________________
6. How many years have you been in business as:
a. General contractor years.
b. Subcontractor years.
7. a. Furnish the following information concerning the owner, partners, officers and directors:
Percent of Business Owned
Years of Business Experience
Name Title Contracting Other
b. Attach resumes of these key personnel as well as the on-site project manager(s) and superintendent(s), and specifically identify the following:
- Present position, responsibility, and length of employment.
- Amount and type of construction experience.
- Amount and type of highway construction experience, including position, responsibility, and a brief project description of each period of employment.
- Formal education and training, professional or technical registrations or licenses.
B-4
8. a. Contracts in force. (Attach additional sheets if necessary)
Project Name and
Contract Numbers
Owner's Name, Address, and Contact Name, Email and
Telephone #
Scope of Work Performed Contract Amount Estimated
Completion Date
Name of Surety
b. Are there any unresolved claims or lawsuits associated with these projects? If so, state the amount in dispute, parties involved, nature and circumstances of the dispute, and status of the matter on a separate sheet.
B-5
9.
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